Individual
KIMBERLY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 W BECK WAY, WARDEN, WA 98857-9401
(509) 349-2366
Mailing address
101 W BECK WAY, WARDEN, WA 98857-9401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00145890
WA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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